NICE chronic primary pain guidelines: what the busy GP needs to know

[摘要] ASSESSING CHRONIC PAIN Chronic primary pain occurs without a clear underlying condition or when the pain — including associated emotional distress and functional disability — is disproportionate to observable injury or condition. These conditions, including fibromyalgia, chronic primary headache, and chronic primary pelvic pain, affect between 1% and 6% of people in England.1 The underlying pathophysiology is poorly understood.Patients can experience both primary and secondary pain concomitantly with significant overlap of symptoms. It is important to acknowledge this to the patient and where possible address them separately. National Institute for Health and Care Excellence (NICE) guidance1 focuses particularly on the management of chronic primary pain and not chronic secondary pain, for which condition-specific guidance should be followed.

[学科分类] 卫生学